Forbes Child Care

A large hole was observed in the outdoor play space that could cause a tripping hazard for the children playing in the area.

In the infant room a broken hands-free covered can was observed, making the staff needing to lift the lid with their hands to open the can.

The File for Staff #1 contained a Health Assessment that had communicable diseases checked yes but no explanation was provided.

In the documentation of testing of the smoke detection system there were dates of 1.7.24-2.20.24 and 4.15.24-5.21.24 both of which were more than the required 30 days in between testing.

In the documentation of testing of the smoke detection system there were dates of 1.7.24-2.20.24 and 4.15.24-5.21.24 both of which were more than the required 30 days in between testing.

The file for Child #2 contained an agreement form that was lacking the fee amount.

The file for Child #1 and #2 both contained agreements that were lacking the persons designated by the parent to whom the child may be released.

The file for Child #3 contained an emergency contact and agreement forms that were lacking 6 month signatures reviews.

The files for Staff #1 and #2 contained Pediatric First Aid dated 9.5.24, which was more than 90 days after their date of hires.(see LIS code sheet)

The file of facility person #1 contained a signed disclosure statement on the 11/2015 form and not contain a signed disclosure statement on the current form.

The emergency plan did not contain a contingency plan or contingency fund which can help strategize how repairs will be paid for, how staff will be paid and continue to run the business after a disaster or emergency.

An electrical outlet below the window and one by the dress-up shelf did not contain a protective receptacle cover.

The first aid kit in the toddler classroom did not contain tweezers or tape.

The plywood-like frame of a wooden block containing books was cracked in the infant room.

Younger and older toddlers were observed in the school-age classroom. The shelves contained board games, Yatzee and Sorry for example, which have pieces less than an inch in diameter and were accessible to the children still placing objects in their mouths.

The immunization record of child #3, identified as a young toddler, lacked 1 HIB and 1 pneumococcal vaccination as recommended by the ACIP or an acceptable exemption.

The health assessment of facility person #2 exceeded 24 months (8/31/2021 and 9/7/2023).

The facility emergency plan did not provide for accommodations for infants and toddlers.

Documentation of the hypothetical locations on the fire drill log were used in consecutively 3 times between 11/20/2022 and 5/19/2023.

Documentation of testing the operability of the fire detection system exceeded 30 days on the following occasions: 10/24/2022 to 11/20/2022, 12/16/2022 to 1/19/2023 to 2/20/2023, 3/17/2023 to 4/20/2023 and 5/19/2023 to 6/19/2023 to 7/20/2023.

The current fire safety training of facility person #2 was dated 2/1/2023 but did not have documentation of fire safety training in the year prior.

The file of facility person #3, identified as the director, contained a copy of an associate's degree, but did not contain the transcripts to identify if the major listed on the degree is in the human service field (or has 30 human service credits) or documentation of experience making it unable to determine if facility person #3 qualifies for the position.

The file of facility person #1, identified as an aide, did not contain documentation of education.

The financial agreements of child #2 and #3 did not contain their arrival and departure times.

The financial agreement of child #2 did not contain the persons designated by the parent to whom the child may be released.

The files of child #1, #2, #3, #4 and #5 contained the original financial agreements.

The emergency contact form of child #3 was in its original form, however, the first name of the child on the original form was whited out and the first name of child #3 was written on the white-out. The date of birth on the original emergency contact form did not match the date of birth for child #3 on other documentation (health assessment) making it unable to determine if the emergency contact form is for child #3.

The emergency contact form of child #2 did not contain their date of birth.

The emergency contact forms of child #1 and #5 did not contain the telephone number or address of the child's physician or source of medical care.

The emergency contact form of child #1 did not contain the work address of the enrolling parent and the emergency contact form of child #3 did not contain the work telephone number of the enrolled parent.

The emergency contact form of child #1 did not contain the name of the child's health insurance policy.

The emergency contact forms of child #3 and #4 did not contain addresses for all of the release persons designated by the parent to whom the child may be released.

Documentation of the review and/or update to the emergency contact form and financial agreement of child #1 exceeded 6 months (9/6/2022 and 9/1/2023).

The posted certificate of compliance expired on 12/23/2022. The current certificate was not posted.

The file of facility person #2 contained 5 hours of professional development during their annual training year of 12/19/2021 and 12/19/2022 (based on their start date - see coded LIS sheet) and contained an additional 5.5 hours dated 3/27/2023. Facility person #2 lacks 1.5 hours of professional development to meet the 12 annual hour requirement.

Staff person #1 was observed to be caring for children unsupervised. Staff person #1 has not completed the following pre-service training required prior to caring for children unsupervised: Health and Safety Topics including pediatric first aid/CPR from a PQAS approved trainer and a PQAS approved curriculum and mandated reporter training.

The file of facility person #2 contained a PDE FBI clearance dated 11/24/2021 and did not have an acceptable FBI clearance to work in child care. The file also did not contain documentation of fingerprinting for the acceptable FBI clearance.

The completed disclosure statements of facility person #1 and 3 were not on the current form. The disclosure statement of facility person #2 was not on the current form and lacked a witness signature and their file contained incomplete PA state police and FBI clearances. The file of facility person #4 contained a PA state police clearance dated 1/24/2017 and did not contain an updated clearance within 60 months. The disclosure statement of facility person #5 was incomplete lacking the facility persons signature.

At approximately 10:08 am, facility person #4 left the school-age classroom carrying a child leaving facility person #5 in the classroom with 7 children for a short time. The children in the classroom ranged in age from young toddler to school-age.

A pair of adult scissors were accessible in the toddler classroom on a shelf.

The file of facility person #5 contained documentation of emergency plan training dated 6/5/2019 but did not contain documentation of annual training in 2020, 2021 and 2022 (if applicable).

By the table on the same wall to enter the school-age classroom, an electrical outlet did not have a protective receptacle cover.

Liquid white-out, labeled "keep out of the reach of children" was accessible in the toddler classroom by the open door next to the first-aid kit.

The first-aid kits in the infant and toddler classroom were accessible to children on the shelf by the opened door.

The first-aid kits in the toddler and preschool classroom did not have tape.

The doors to outside at the end of the hall by the office were obstructed by a stroller and a child-sized chair.

The toddler room contained markers with removeable caps on the shelf and the infant classroom contained markers with removeable caps and small tubes of super glue in a pink Rubbermaid drawer. The caps and glue were less than an inch in diameter and accessible to children.

The file of child #3, identified as a school-age child (see coded LIS sheet), contained a health assessment dated 1/31/2020, but did not contain a health report which is dated in accordance with the requirements for medical examinations for school attendance.

The file of child #1, identified as a young toddler, contained an initial health assessment dated 8/10/2021 and an updated health assessment dated 9/15/2022, which is more than 6 months from the initial health assessment.

The file of facility person #4 contained a current health assessment dated 8/30/2022 with the previous being dated 7/27/2020, exceeding 24 months.

The health assessment of facility person #1 was incomplete lacking an explanation for the result of the examination for communicable diseases.

The refrigerator in the school-age classroom contained an child's bottle which was not labeled with their name.

The facility did not have documentation of an emergency drill being conducted since the implementation of the regulation on 12/19/2020.

Documentation of the hypothetical location of the fire on the fire drill log was listed consecutively as the "large room" on 2 occasions: 2/4/2022 and 3/7/2022 and 6/16/2022 and 7/28/2022.

When operating the fire detection system, the stand-along detector in the school-age classroom did not operate. Facility staff checked the detector and stated the battery was in backwards, fixed it, then it appeared operable at that time. The facility did not have documentation of testing the fire detection system at least every 30 days.

The facility emergency plan did not provide for accommodations for the evacuation of children to a location away from the facility including the evacuation routes to the evacuation location.

Based on conversation with the director and lack of documentation, the emergency plan was not sent to the local emergency management agency.

The facility did not have documentation of their shaken baby, abusive head trauma and maltreatment policy at the time of the inspection. The facility did not have a continuity of operations plan for when a disaster or emergency strikes in the area.

Documentation of the health and safety training topics for facility person #4 was dated 8/25/2016, which was before the acceptable date on or after 9/30/2016.

Documentation of the most recent written evaluation of facility person #5 was dated 8/2/2021, lacking a current written evaluation within 12 months.

The file of facility person #1, identified as a group supervisor, did not contain documentation of education or experience and facility person #2, also identified as a group supervisor, did not contain documentation of education.

The financial agreement of child #1 did not contain their arrival and departure times.

The original financial agreements of child #1, 2, 3, 4 and 5 were in their files at the facility.

The emergency contact information of child #2 did not have the name, address and telephone number and child #3 did not have the telephone number of the child's physician or source of medical care,

The emergency contact information of child #2 did not contain the work address or work telephone number of the enrolling parent.

The emergency contact information of child #3 did not contain the health insurance policy number.

Documentation of the review and/or update of the emergency contact information and financial agreement of child #5 was dated 6/8/2022 with the prior review and/or update dated 6/1/2021, exceeding 6 months.

Based on conversation with the director, the facility did not provide the parent of each child enrolled with information on how to access the regulations electronically.

The file of facility person #4 contained documentation of 7 training hours between 12/2020 and 12/2021, which is their annual year, 2 hours dated 4/26/2022 and 1 hour dated 4/20/2022, but lacked 2 additional hours to attain the minimum of 12 annual training hours.